MKSAP: 38-year-old man with ulcerative colitis

Test your medicine knowledge with the MKSAP challenge, in partnership with the American College of Physicians.A 38-year-old man is evaluated during a routine examination. He was diagnosed with ulcerative colitis 10 years ago and is currently asymptomatic. His last colonoscopy, performed at the time of diagnosis, showed mildly active extensive colitis extending to the hepatic flexure. There is no family history of colon cancer or colon polyps. His only medication is mesalamine.On physical examination, vital signs are normal. Abdominal examination is normal. Laboratory studies, including a complete blood count, liver chemistry studies, and C-reactive protein, are normal.Which of the following is the most appropriate colonoscopy interval for this patient?A: Colonoscopy now and every 1 to 2 years B: Colonoscopy now and every 5 years C: Colonoscopy every 5 years starting at age 40 D: Colonoscopy every 10 years starting at age 40Continue reading ... Follow KevinMD.com on Facebook, Twitter, Google+, and LinkedIn.
Source: Kevin, M.D. - Medical Weblog - Category: Family Physicians Tags: Conditions GI Source Type: blogs